Evidence map›Paper›PMID 31598558›Full record

ArticleClinical and experimental hepatology2019

Effect of comedication on ombitasvir/paritaprevir/ritonavir ± dasabuvir ± ribavirin therapy in chronic hepatitis C - a real-world study.

Krzysztof Adam Simon, Robert Flisiak, Tadeusz Wojciech Łapiński, Ewa Janczewska, Marta Wawrzynowicz-Syczewska, Jerzy Jaroszewicz, Dorota Zarębska-Michaluk, Khalil Nazzal, Beata Bolewska, Jolanta Białkowska and 20 more

Abstract read
In one paragraph

Article in Clinical and experimental hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Krzysztof Adam SimonProvincial Specialist Hospital. J. Gromkowskiego, Wroclaw, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Tadeusz Wojciech ŁapińskiDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Ewa JanczewskaHepatology Outpatient Clinic, ID Clinic, Myslowice, Poland.
Marta Wawrzynowicz-SyczewskaDepartment of Infectious Diseases, Hepatology and Liver Transplantation, Pomeranian Medical University, Szczecin, Poland.
Jerzy JaroszewiczDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases, Voivodeship Hospital and Jan Kochanowski University, Kielce, Poland.
Khalil NazzalDepartment of Tropical and Infectious Disease and Hepatology, Medical University of Warsaw, Poland.
Beata BolewskaDepartment of Infectious Diseases, Poznan University of Medical Sciences, Poland.
Jolanta BiałkowskaDepartment of Infectious and Liver Diseases, Medical University of Lodz, Poland.
Hanna BerakDaily Unit, Hospital of Infectious Diseases in Warsaw, Poland.
Katarzyna Fleischer-StępniewskaDepartment of Infectious Diseases, Liver Diseases and Immune Deficiencies, Wroclaw Medical University, Poland.
Krzysztof TomasiewiczDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, Poland.
Kornelia KarwowskaDepartment of Infectious Diseases and Hepatology, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.
Karolina Anna RostkowskaProvincial Specialist Hospital. J. Gromkowskiego, Wroclaw, Poland.
Anna PiekarskaDepartment of Infectious Diseases and Hepatology, Medical University of Lodz, Poland.
Olga TroninaDepartment of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Poland.
Grzegorz MadejProvincial Specialist Hospital. J. Gromkowskiego, Wroclaw, Poland.
Aleksander GarlickiDepartment of Infectious and Tropical Diseases, Jagiellonian University Medical College, Krakow, Poland.
Mariusz ŁucejkoDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland.
Arkadiusz PisulaHepatology Outpatient Clinic, ID Clinic, Myslowice, Poland.
Ewa KarpińskaDepartment of Infectious Diseases, Hepatology and Liver Transplantation, Pomeranian Medical University, Szczecin, Poland.
Wiesław KryczkaDepartment of Infectious Diseases, Voivodeship Hospital and Jan Kochanowski University, Kielce, Poland.
Alicja Wiercińska-DrapałoDepartment of Tropical and Infectious Disease and Hepatology, Medical University of Warsaw, Poland.
Iwona Mozer-LisewskaDepartment of Infectious Diseases, Poznan University of Medical Sciences, Poland.
Maciej Stanisław JabłkowskiDepartment of Infectious and Liver Diseases, Medical University of Lodz, Poland.
Andrzej HorbanDaily Unit, Hospital of Infectious Diseases in Warsaw, Poland.
Brygida KnyszDepartment of Infectious Diseases, Liver Diseases and Immune Deficiencies, Wroclaw Medical University, Poland.
Magdalena TudrujekDepartment of Infectious Diseases and Hepatology, Medical University of Lublin, Poland.
Waldemar HalotaDepartment of Infectious Diseases and Hepatology, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyThis multicentre study aimed to examine the actual risk for drug-drug interactions in a cohort of Polish patients, and their impact on antiviral therapy. MATERIAL AND

methodsConcomitant medications were analyzed in hepatitis C virus (HCV)-infected patients treated with still valuable therapy with OBV/PTV/r ± DSV ± RBV. An established online tool (http://www.hep-druginteractions.org/) was used to assess potential drug interactions. To assess the impact of comedications on virologic outcomes, HCV RNA levels were measured at given time points during and after the treatment. The results were compared between subgroups depending on the number of drugs used.

resultsAmong the 209 patients included in this multicentre study, concomitant medications were taken by 140 (67.0%) patients. Modification of treatment due to expected interactions was required in 33 (15.8%) patients, of whom nine (4.3%) had at least one comedication replaced or discontinued. Sustained virologic response rates ranged from 95.1% to 100.0%, and were lowest in patients taking one to five comedications who were null-responders to pegylated interferon or cirrhotic.

conclusionsAlthough most HCV-infected patients received concomitant medications, only some required treatment modification. OBV/PTV/r ± DSV ± RBV was effective in all subgroups, irrespective of the number of comedications taken. Multimorbidity and polypharmacy in patients with chronic hepatitis C should not discourage the decision to initiate antiviral therapy, although caution should be exercised for potential drug-drug interactions.

Indexed as

direct-acting antiviralsdrug-drug interactionsHCV infection

Identifiers

PMID31598558
PMCPMC6781817

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.